Provider Demographics
NPI:1295101996
Name:JOINING HANDS CREATIVE COUNSELING & WELLNESS, LLC
Entity type:Organization
Organization Name:JOINING HANDS CREATIVE COUNSELING & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:CROSS
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:763-274-0510
Mailing Address - Street 1:907 MAIN ST NW
Mailing Address - Street 2:
Mailing Address - City:ELK RIVER
Mailing Address - State:MN
Mailing Address - Zip Code:55330-1508
Mailing Address - Country:US
Mailing Address - Phone:763-274-0510
Mailing Address - Fax:763-274-3117
Practice Address - Street 1:907 MAIN ST NW
Practice Address - Street 2:
Practice Address - City:ELK RIVER
Practice Address - State:MN
Practice Address - Zip Code:55330-1508
Practice Address - Country:US
Practice Address - Phone:763-274-0510
Practice Address - Fax:763-274-3117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty